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Prevalence and Correlates of Individuals Screening Positive for Depression and Anxiety on the PHQ-4 in the German General Population: Findings from the Nationally Representative German Socio-Economic Panel (GSOEP)

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Our aim was to estimate the prevalence and correlates of probable depression and anxiety in the general adult population in Germany. Repeated cross-sectional data (i.e., cross-sectional data observed at different… Click to show full abstract

Our aim was to estimate the prevalence and correlates of probable depression and anxiety in the general adult population in Germany. Repeated cross-sectional data (i.e., cross-sectional data observed at different time points: year 2012 and year 2014) were derived from the innovation sample of the German Socio-Economic Panel, a population-based study of German households. The validated Patient Health Questionnaire (PHQ-4) was used to measure probable depression and anxiety. In the analytical sample, n equaled 2952 individuals. According to the PHQ-4 cut-off values, 10.4% of the individuals had probable depression and 9.8% of the individuals had probable anxiety. Regressions revealed that the likelihood of depression was positively associated with lower age (OR: 0.98 (95% CI: 0.98–0.99)), being unmarried (and living together with spouse) (OR: 0.75 (0.58–0.98)), worse self-rated health (OR: 1.99 (1.73–2.27)), and more chronic diseases (OR: 1.18 (1.07–1.31)). Furthermore, the likelihood of anxiety was positively associated with being female (OR: 1.36 (95% CI: 1.04–1.76)), lower age (OR: 0.98 (95% CI: 0.97–0.99)), low education (medium education, OR: 0.69 (0.50–0.95)), worse self-rated health (OR: 2.00 (1.74–2.30)), and more chronic diseases (OR: 1.15 (1.03–1.27)). The magnitude of depression and anxiety was highlighted. Clinicians should be aware of the factors associated with probable depression and anxiety.

Keywords: depression; anxiety; probable depression; prevalence correlates; population; depression anxiety

Journal Title: International Journal of Environmental Research and Public Health
Year Published: 2020

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